Individual provider Active NPI

Crystal N Debeary, NP

  • Family Nurse Practitioner
  • Ellicott City, MD
National Provider Identifier
1669064507
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R218459 Issued in MD
Practice address
2850 N Ridge Rd Ste 102
Ellicott City, MD 21043-3396
Phone
(240) 462-8872
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R218459 MD Primary

Addresses

Primary practice location

2850 N Ridge Rd Ste 102
Ellicott City, MD 21043-3396

Mailing address

2850 N Ridge Rd Ste 102
Ellicott City, MD 21043-3396
Phone (410) 418-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210604000592 MD Practitioner - Nurse Practitioner 5799184123 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland General Clinical Practice Group, Inc.Group PAC ID 8123926649, 61 clinicians

Practice addresses (Care Compare)

827 Linden Ave
Baltimore, MD 21201-4606
Phone (410) 225-8446

Hospital & facility affiliations

  • University of MD Medical Center Midtown Campus Hospital, Baltimore, MD, CCN 210038

Merit-based Incentive Payment System (MIPS)

Final score
95.55 of 100Reported as group
Quality
81.34
Promoting interoperability
100
Improvement activities
40
Cost
70.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shock Trauma Associates, P.a. CurrentSince Nov 26, 2023 Accepting new patients
Johns Hopkins Regional Physicians LLC CurrentSince Jun 8, 2021 Accepting new patients
Johns Hopkins Regional Physicians LLC Current Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Sep 18, 2023 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Sep 18, 2023 Accepting new patients
Johns Hopkins Regional Physicians LLC CurrentSince Jun 8, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

10710 Charter Dr
Ste 400
Columbia, MD 21044
Phone (410) 997-7979

2850 North Ridge Rd
Ste 102
Ellicott City, MD 21043
Phone (410) 418-8550

1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337

Interoperability endpoints

  • Direct secure messaging: cdebeary477700@direct.umm.edu

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1669064507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N RIDGE RD STE 102",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433396",
            "telephone_number": "410-418-8550",
            "fax_number": "410-418-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 N RIDGE RD STE 102",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433396",
            "telephone_number": "240-462-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBEARY",
        "first_name": "CRYSTAL",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R218459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.